Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $1,275.83 / $4,933.00	Facility		$64.23	$1,275.83	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $781.67 / $1,408.13	Professional		$59.43	$781.67	$1,408.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,087.28 / $8,126.56 / $16,172.47	Facility		$4,087.28	$8,126.56	$16,172.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $20.29 / $90.23	Professional		$12.78	$20.29	$90.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $155.18 / $1,389.19	Professional		$51.91	$155.18	$1,389.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $2,056.00 / $4,933.00	Facility		$64.23	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $875.60 / $1,408.13	Professional		$64.23	$875.60	$1,408.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $650.03 / $813.87 / $1,171.97	Professional		$650.03	$813.87	$1,171.97
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,438.00 / $2,449.00	Facility		$717.00	$1,438.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.65 / $1,231.73 / $1,566.10	Professional		$1,029.65	$1,231.73	$1,566.10